Ddk, Pllc | |
623 W Main St Monroe WA 98272-2101 | |
(360) 805-9060 | |
Not Available |
Full Name | Ddk, Pllc |
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Speciality | Clinic/center - Dental |
Location | 623 W Main St, Monroe, Washington |
Authorized Official Name and Position | Donald Kim (OWNER) |
Authorized Official Contact | 4259487517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ddk, Pllc 8126 132nd Pl Se Snohomish WA 98296-5930 Ph: () - | Ddk, Pllc 623 W Main St Monroe WA 98272-2101 Ph: (360) 805-9060 |
NPI Number | 1285994103 |
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Provider Enumeration Date | 05/24/2012 |
Last Update Date | 05/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285994103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 10602 (Washington) | Primary |
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